<html>
<head>
  <meta http-equiv="content-type" content="text/html; charset=iso-8859-1">
 
</script>
</head>

<body>

<form name="request_form">
  Client Agent: <input type="text" id="optiontb" name="option"> 
Enter Option: <input type="text" id="optiontb" name="option"> 
  <input type="button" onclick="myfunction(this.form)" value="submit"> </form>
</body>
</html>
